Loading...
HomeMy WebLinkAboutF2022-0578 - Permit Applicationfor WorkC'ity off Ne pot Beach -Building Division k0k7 C l(�U11,_Please print 3 copies Associated Building Permit # I ire Sprinkler ❑ Fire Alarm ❑ Fire Misc 1. Project Address (Not Tenant Name C IQ , i 'S 2. Description of Work Ct Rfe 5P 1)kj r,-s `n 7.1 Extg Sq Ft 11' � New/Added Sq Ft __ Total Sq Ft ' ❑ New ❑ Add Fj"�AIter ❑ Demo unectc Appropriate tsox Tor Appiicant/NOUT! cation ❑ 3. Owner's Name Last First Floor Suite No © k� # Units W Use P t h `� Valuation $ 1�?� # Stories 117 Owner's Address Owner's E-mail Address City I State [� Zip Telephoned ❑ 4. Architect/Designer's Name Last First I Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City 1 State ZipI Telephoned ❑ 5. Engineer's Name Last First J Lic. No.l I Engineer's Address Engineer's E-mail Address i City State L — 11, Zip Telephoned [K6. Contractor's Name Last ajp, � _ First ��C�+ Lic No. S� L� assC Contractor's Address 7� Contractor's E-mail Address �c�]le� ��C cTol.Cp•�% City State FTT Zip 1 Telephone OFFICE USE ONLY 2zotw ItAt ,ur TYPE OF CONSTRUCTION OCCUPANCY - GROUP PERMIT NO. PLAN CHECK 1% PLAN CHECK FEE $